| Broker | Address | Carrier | Commissions | Fees | Total comp | % of premium |
|---|---|---|---|---|---|---|
| ASSUREDPARTNERS3 Filed as: BORISLOW INSURANCE | ONE GRIFFIN BROOK DRIVE METHUEN, MA 01844 | ANTHEM HEALTH PLANS OF MAINE, INC. | $249K | — | $249K | 3.67% |
| ASSUREDPARTNERS3 Filed as: BORISLOW INSURANCE | ONE GRIFFIN BROOK DRIVE METHUEN, MA 01844 | SUN LIFE ASSURANCE COMPANY OF CANADA | $52K | — | $52K | 11.90% |
| UNITED BENEFITS ADVISORS INC3 Filed as: UNITED BENEFITS ADVISORS, INC. | 10 WYNSHIRE LANE RED LION, PA 17356 | SUN LIFE ASSURANCE COMPANY OF CANADA | — | $933 | $933 | 0.21% |
| ARMS INSURANCE GROUP LLC3 Filed as: ARMS INSURANCE GROUP | UNKNOWN PORTLAND, ME 04102 | UPMC HEALTH OPTIONS | $9K | — | $9K | 3.07% |
| ASSUREDPARTNERS3 Filed as: BORISLOW INSURANCE | ONE GRIFFIN BROOK DRIVE METHUEN, MA 01844 | VISION SERVICE PLAN | $2K | — | $2K | 3.14% |
| ASSUREDPARTNERS3 Filed as: BORISLOW INSURANCE AGENCY, INC. | ONE GRIFFIN BROOK DRIVE METHUEN, MA 01844 | HYATT LEGAL PLANS | $403 | — | $403 | 9.89% |
| UNKNOWN3 | UNKNOWN PORTLAND, ME 04102 | DELAWARE AMERICAN LIFE INSURANCE COMPANY | $675 | — | $675 | 45.00% |
No Schedule C service providers reported on this filing.
Benefits declared on the Form 5500 main form (✓ = also has a Schedule A insurance contract; otherwise the benefit is funded out of plan assets or via a Schedule C TPA).
The plan reports several different headcounts depending on which form you read. Each one measures a different slice of the population.
| Active participants | 708 | Currently employed and enrolled or eligible. |
| Retired/separated still receiving benefits | 18 | Continuation coverage (COBRA, retiree health). |
| Retired/separated still eligible | 0 | Vested but not currently using benefits. |
| Total participants (= "Plan participants" tile) | 726 | Active + retired/separated + beneficiaries. No dependents. |
| Coverage | Top carrier | Persons covered EOY | Premium |
|---|---|---|---|
| Health (medical)(3 contracts, 3 carriers) | ANTHEM HEALTH PLANS OF MAINE, INC. | 1,286 | $7.1M |
| Vision | VISION SERVICE PLAN | 609 | $68K |
| Life insurance | SUN LIFE ASSURANCE COMPANY OF CANADA | 708 | $436K |
| Long-term disability | SUN LIFE ASSURANCE COMPANY OF CANADA | 708 | $436K |
| Prescription drug(3 contracts, 3 carriers) | ANTHEM HEALTH PLANS OF MAINE, INC. | 1,286 | $7.1M |
| Other(2 contracts, 2 carriers) | SUN LIFE ASSURANCE COMPANY OF CANADA | 708 | $440K |
| Persons covered (= "Persons covered" tile) | Max across the rows above | 1,286 | — |
Why the numbers differ. Form 5500 line 6 counts employees + retirees + beneficiaries; no dependents. Schedule A persons-covered counts everyone enrolled, including spouses and children, so it usually exceeds line 6 by 30-60% on a working-age workforce. The medical row is normally the broadest single line because it has the highest take-up; dental/vision/life often dip below it. Stop-loss / reinsurance contracts sometimes report the carrier's full underwriting pool rather than this filer's headcount; the row is shown for transparency but shouldn't be read as "people in this plan."
Top carrier holds >85% of premium. If that carrier hits a rate increase, the entire plan moves.
Schedule A presence shifted between filings (insured ↔ self-funded, or new contracts added/removed). Capture the transition window.